Renal Cell Carcinoma Grade - Grading System - Medical Algorithm

Are you evaluating a patient with a renal cell carcinoma?

Yes

Average diameter of nuclei

microns

Are the nuclear outlines regular, round and uniform?

Yes

Are nucleoli prominent on low power (x100 magnification)?

Yes

Are nucleoli seen at high power (x400 magnification)?

Yes

Are nuclear shapes bizarre?

Yes

Are multi-nucleated forms seen?

Yes

Are dense chromatin clumps seen?

Yes

Is the sarcomatoid pattern of growth seen?

Yes

Results

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Results Interpretation and Description References Next Steps

Data complete?

Evaluation appropriate?

Fuhrman grade

Probability of distant metastasis

Probability of 5 year survival

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Risk Factors
- Clear Cell Renal Cell Carcinoma Prognostic Factors
- Chances of Aggressive Carcinoma in Renal Tumor Removed By Partial Nephrectomy
Clinical Diagnosis, Including Family History For Genetics
- Aggressive Phenotypic Features for Chromophobe Renal Cell Carcinoma
- Diagnostic Features of a Chromophobe Renal Cell Carcinoma
Severity, Prognosis, Stage

Monitoring

Response To Therapy
- Prediction Model of Leibovich et al for Patients with Clear Cell Renal Cell Carcinoma After Radical Nephrectomy
- The Stage, Size, Grade and Necrosis (SSIGN) Score of Frank et al for Predicting Survival in a Patient with a Clear Cell Renal Cell Carcinoma
Disease Progression
- Chances of Aggressive Carcinoma in Renal Tumor Removed By Partial Nephrectomy

Evaluation

Results

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Monitoring

Specialty

Objective

ICD-10

Fuhrman's Nuclear Grading System for Renal Cell Carcinoma

Purpose: To use the grading system of Fuhrman et al to predict prognosis for a patient with renal cell carcinoma.

Evaluation

Results

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Monitoring

Specialty

Objective

ICD-10